Innovation And Responsibility In Education And Research In Latin America

Bertolozzi, María Rita; Padilha, Kátia Grillo

doi:10.1590/s0080-623420140000100001

Cited by 3 publications

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“…Another challenge is shortage in the distribution, composition and competence of human resources, especially physicians, nurses and midwives ( 5 ) . In response to the most critical component, physicians, incentive programs were adopted to supply and qualify these professional, through the Enhancement Program of Primary Care, and by importing foreign physicians with the More Medical Doctors Program ( 6 ) .…”

Section: Introductionmentioning

confidence: 99%

Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

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et al. 2016

Rev. Latino-Am. Enfermagem

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Objective: to analyze the influence of contextual indicators on the performance of municipalities regarding potential access to primary health care in Brazil and to discuss the contribution from nurses working on this access. Method: a multicenter descriptive study based on secondary data from External Evaluation of the National Program for Access and Quality Improvement in Primary Care, with the participation of 17,202 primary care teams. The chi-square test of proportions was used to verify differences between the municipalities stratified based on size of the coverage area, supply, coordination, and integration; when necessary, the chi-square test with Yates correction or Fisher's exact test were employed. For the population variable, the Kruskal-Wallis test was used. Results: the majority of participants were nurses (n=15.876; 92,3%). Statistically significant differences were observed between the municipalities in terms of territory (p=0.0000), availability (p=0.0000), coordination of care (p=0.0000), integration (p=0.0000) and supply (p=0.0000), verifying that the municipalities that make up area 6 tend to have better performance in these dimensions. Conclusion: areas 4,5 and 6 performed better in every analyzed dimension, and the nurse had a leading role in the potential to access primary health care in Brazil.

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Section: Introductionmentioning

confidence: 99%

Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

Uchôa

Arcêncio

Fronteira

et al. 2016

Rev. Latino-Am. Enfermagem

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“…In 2013, the Brazilian government requested health professionals to provide healthcare to the most deprived sections of Brazilian’s society [22,23]. Most of the Brazilian doctors work in the large cities of the most economically advanced regions, the South and Southeast regions [23].…”

Section: International Health Collaborationmentioning

confidence: 99%

International Medical Collaboration: Lessons from Cuba

et al. 2016

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Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate.

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Letter to the Editor

Walsh¹

2014

Rev. esc. enferm. USP

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and Padilha have presented a fascinating account of their plans to develop education for nurses at the doctorate level to create new research and education networks (1) . The aims of their approach are also praiseworthy -particularly their aims to respond to the needs of the population and to reduce social inequalities. However there are a number of barriers that need to be overcome before their strategy will succeed.First of all there is the goal of engendering better harmony between teaching and research. Although this is a reasonable goal, its achievement is not straightforward. In many third level educational institutions there is conflict between education and research. Many lecturers are contracted to teach but spend most of their time doing research. Indeed much of the funding that university departments receive is dependent on them applying for and winning research grants. Ironically this can lead some teaching units to neglect their teaching. More value and rewards need to be placed on those who simply deliver teaching within third level institutions.Secondly responding to the needs of the population with particular reference to reducing social inequalities is also less than straightforward. Too much research in healthcare is biomedical research and individual biomedical research barons hold a great deal of power within the universities. Most research produced is quantitative scientific research. This makes it more of a struggle to produce qualitative research or social science research or indeed to win plaudits for such research. Once again a rebalancing is needed in this direction to produce more population level research and more social science research.Thirdly and lastly ensuring more nursing input into research will also be a challenge. A network would be helpful as would a programmatic approach so that improvements are sustainable. Encouraging more interdisciplinary research would also be helpful and would likely involve partnerships and mentorship between very experienced researchers and those with less experience.The authors have laid out a significant challenge -the next steps will be overcoming the barriers and designing long-lasting improvements.We totally agree with your concerns about the lack of harmony between the dimensions of the university: teaching and research. In the School of Nursing of the University of São Paulo (EEUSP), we try to harmonize them to the activities of extension in services to the community. Professors at USP are hired to work, simultaneously, in these areas -graduation and post-graduation (Stricto Sensu), combining research to the activities to community -and the evaluation of the professors is focused on verifying their progresses in those three axes.

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Innovation And Responsibility In Education And Research In Latin America

Cited by 3 publications

References 2 publications

Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

Potential access to primary health care: what does the National Program for Access and Quality Improvement data show?

International Medical Collaboration: Lessons from Cuba

Letter to the Editor

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